HomeMy WebLinkAboutHomestead_Riddle (3)CLAIM FOR HOMESTEAD PROPERTY TAX FORM YEAR
CREDIT /STANDARD DEDUCTION HCto Cf'S
State Form 5473 (R2 / 5 -92)
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INSTRUCTIONS: See reverse side for tiling instructions.
CERTIFICATION STATEMENT
1 I (We) certify thavo t¢ e;I1jaj%F4arch, 19
J J
�e) occupied as our principal place of residence the following described real property for which a Homestead Prope) y Tax Credit is hereby claimed:
l(We)owned El Are buying under contract . d ii,"
❑ Have a beneficial interest in the entity that is liable for the property taxes on the property and that owns the rope y r I�yc t�1),y(erwider a contract.
CONTRACT RECORDED
It buying on contract, Fee Simple owner's name
Recorder's office where contract is recorded Record number Page
-
PROPERTY DESCRIPTION
County -
Township
Township
Tazing district (uty town. township)
Oel numbe- O
Legal description
V
It any portion of the residential structure or the land not exceeding one (1) acre that immediately surrounds that structure is used to produce income, describe fhe use and portion
of the properly utilized to produce income.
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
County
Township
County
Township
00 reby certify the above statements are true, correct and complete.
ign ure aimant r
Address (number and street. city, state, ZIP code)
ASSESSOR USE ONLY '
TRUE TAX
VALUE
ASSESSED
VALUE
HOMESTEAD
VALUE
NON - RESIDENTIAL
VALUE
Land not exceeding 1 (one) acre immediately
surrounding residential improvements.
(1)
Other land
(2)
Total land (line I plus line 2)
(3)
Residential improvements
Dwelling
(4)
Garage
(5)
Other improvements
(6)
Total improvements (line 4 through line 6)
(7)
Total value (line 3 pUs line Z)
(6)
I hereby certify the above is true, correct, and
complete.
Signature of Assessor
Date signed
Verifying action - Signature of Auditor
Date signed
STANDARD DEDUCTION ALLOWANCE
19 _ Pay 19
Lesser of 1/2 Homestead
Valuation or $2,000
S
Signature of Auditor
Date signed
J
i
•
STATE FORM!!!wlq_t Swl EAEASULER FORM TRIA
VVMNEI Bx MAO WAKE/DE WYWLNnn,aau PREYRIBFD BY ME DEPART a(f LOCAL eAell MrAr FIANCE It'H.I-r-I
Gibson County Auditor 101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 InditiduaLs and married couples are limited to one homestead standard deduction.As the receipt of this deduction tnomes
( more beneficial,there is more incentive than e'er for homestead fraud.homestead fraud causes higher tax bills for all:therefore.
HEA 1344-2009 requires taxpayers who remise the homestead standard deduction to verity that they are eligible to receive the
benefit and to provide additional identifying information necesary to allow county government to better monitor homestead
flints.This information will be kepi confidential and can only he accessed by aulhnri,ed count'officials.The Department of
Local Coserrnnent Finance will use this information to create tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Riddle, Donald E/Dianna L
x95
- - - - - - - -- — - . . _ Oakland City IN 47660
8389
Donald E Dianna L Riddle
485 W 100E N 8 5-e S 1I 00 E State Parcel Number Legal Description
Oakland City IN 47660
26-20-01-200-000.843-001 001-00843-00 PT SW NE 1-3-9 7.63 AC
PART 2:TAXPAYER INFORMATION
Owner y/� r t� First VA-G eI ` 1... Middle \ \ last c__
Social Security Number(last 5 digits) Driver's License/State ID Number (last 5 digits) Other(please specify in Part 4 below)
*WOO o yo< y a� 3 --- 7 a 51
Spouse First Middle (/'�) Last
7I h ( i / h�� -1-1 '� c
Social Security Number(last 5 digits) Driver's License/State ID Number (last 5 digits) Other(please specify in Pan 4 below)
tv\I�%..I . fr _6 vga 3 — I a 5 3
I, PART 3:CERTIFICATION
Each undersigned certifies,under penalty of perjury,that the above and foregoing information is true and correct and that he or she is eligible to
receive the homestead standard deduction on this property. Each undersigned also understands that,by claiming additional homestead deductions
unlawfully,he or she may be liable for back taxes and substantial financial penalties.
Owner Si' ature Date
PART 4:ADDITIONAL INFORMATION